Robert Michael Salem, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14214 Issued in MA

Practice address

75 Van Deene Ave Ste 102
West Springfield, MA 01089-3216

Phone

(413) 739-7125

Fax

(413) 737-1718

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1255460945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VAN DEENE AVE STE 102",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893216",
            "telephone_number": "413-739-7125",
            "fax_number": "413-737-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VAN DEENE AVE STE 102",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893216",
            "telephone_number": "413-739-7125",
            "fax_number": "413-737-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEM",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "14214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francoise Saint-Elme
• Victoria A Salal, MSW, L.I.C.S.W.
• Caitlyn Salamon
• Salce Transportation, Inc.
• George Salem Jr., D.P.M.
• Samantha Marie Salem
• Cassandra Leah Salinardi, M.ED., LMHC
• Brian Layton Saltzman, D.M.D.
• Roberto B Salva-Otero, M.D.
• Elodie Leona Sammarco, B.S. ED

• General Practice Dentistry in West Springfield, MA
• Providers in West Springfield, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.